NR 341 NR341 COMPLEX ADULT HEALTH EXAM ...200 EXAM QUESTIONS AND CORRECT ANSWERS, Exams of Nursing

NR 341 NR341 COMPLEX ADULT HEALTH
EXAM ...200 EXAM QUESTIONS AND
CORRECT ANSWERS, Exams of Nursing




What are causes of SIADH? <<<answer>>>*Malignancies


*CNS disorders including head trauma


*Pulmonary disorders


*Drugs


*Small cell cancer


*Stroke


What are expected clinical manifestations of SIADH? <<<answer>>>*Weight
gain
*HA

,*Lethargy
*LOC
*Cramping
*SZ
*Tachycardia
*Coma
*Hyponatremia
*Hypothermia
*Muscle Twitching
*Decreased urine volume


*Increased urine specific gravity greater than 1.025


*Serum Osmolity <280
*Loss of appetite


What are nursing interventions for SIADH? <<<answer>>>*Seizure & fall
precautions


*Position HOB flat to 10 degrees


*Frequent turning & ROM

,*Daily weights


*Supplement diet with Na+ & K+


*Fluid restriction (500-1000mL/day)


*Drug therapy
-Hypertonic saline (3% NaCl)
-Demeclocycline (Declomycin)-Decreases renal tubule response to ADH
-Furosemide may be used if Na+ >125


What are causes of traumatic brain injury (TBI)? <<<answer>>>*Hypoxia
*Tumors
*Infections
*Stroke
*Open head injury
*Closed head injury


*Deceleration injuries (Diffuse Axonal injury)


*Chemical/Toxic

, What are secondary issues from traumatic brain injury?
<<<answer>>>*Hypotension
*Hypoxia
*Ischemia
*ICP
*Cerebral edema


What is included in the admission assessment for TBI? <<<answer>>>*History
-Mechanism of injury
-Location & position
-Immobilization
-PMH


*Psychosocial
-Ongoing


*Physical
-VS
-Head to toe
-Disabilities


What does the hourly assessments include? <<<answer>>>*Mental Status
-GCS, expressive language, ability to follow commands